| Medstar Medical Group Ii Llc | |
|
12158 Central Ave Mitchellville MD 20721-1932 | |
| (301) 430-2700 | |
| Not Available |
| Full Name | Medstar Medical Group Ii Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 12158 Central Ave, Mitchellville, Maryland |
| Authorized Official Name and Position | Stephanie Schneider (VP) |
| Authorized Official Contact | 7025581403 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medstar Medical Group Ii Llc 2000 15th St N Ste 600 Arlington VA 22201-2900 Ph: (703) 558-1400 | Medstar Medical Group Ii Llc 12158 Central Ave Mitchellville MD 20721-1932 Ph: (301) 430-2700 |
| NPI Number | 1629711627 |
|---|---|
| Provider Enumeration Date | 04/18/2022 |
| Last Update Date | 04/18/2022 |
| Certification Date | 04/18/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629711627 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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